NPIMap

Organization Active NPI

Case Western Reserve University

Doing business as National Prion Disease Pathology Surveillance Center

  • Clinical Pathology/Laboratory Medicine Physician
  • Cleveland, OH
National Provider Identifier
1821390444
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
36D0981930 Issued in OH
Legal business name
CASE WESTERN RESERVE UNIVERSITY
Doing business as
National Prion Disease Pathology Surveillance Center
Practice address
2085 Adelbert Rd
Cleveland, OH 44106-4907
Phone
(216) 368-0587
Fax
(216) 368-4090
NPI assigned
Dec 2, 2010
Last updated
Dec 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Pierluigi Gambetti, M.D.NPI 1760552145
Title
Director
Phone
(216) 368-0587

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 36D0981930 OH Primary

Addresses

Primary practice location

2085 Adelbert Rd
Cleveland, OH 44106-4907

Mailing address

10900 Euclid Ave
Cleveland, OH 44106-1712
Phone (216) 368-0587

Other names 1

  • National Prion Disease Pathology Surveillance Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110901000298 OH Part B Supplier - Independent Clinical Laboratory 8123142205 Practice locations: Cleveland, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0981930National Prion Disease Pathology2085 Adelbert Road, Room 419, Cleveland, OH 44106ComplianceJun 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
Case Western Reserve Un8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

2085 Adelbert Rd
Cleveland, OH 44106
Phone (216) 368-0587

2085 Adelbert Rd
Rm 419
Cleveland, OH 44106
Phone (216) 368-0567

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1821390444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061712",
            "telephone_number": "216-368-0587",
            "fax_number": "216-368-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 ADELBERT RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441064907",
            "telephone_number": "216-368-0587",
            "fax_number": "216-368-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASE WESTERN RESERVE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "GAMBETTI",
        "authorized_official_first_name": "PIERLUIGI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "216-368-0587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "OH",
            "license": "36D0981930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "National Prion Disease Pathology Surveillance Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.